Individual provider Active NPI

Laurie Ann Wordon, RN

  • Registered Nurse
  • Hudson, NY
National Provider Identifier
1285987586
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
612121-1 Issued in NY
Practice address
215 Harry Howard Ave
Hudson, NY 12534-1606
Phone
(518) 828-4360
Fax
(518) 697-8418
NPI assigned
Oct 24, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 612121-1 NY Primary

Addresses

Primary practice location

215 Harry Howard Ave
Hudson, NY 12534-1606

Mailing address

215 Harry Howard Ave
Hudson, NY 12534-1606
Phone (518) 828-4360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
612121-1NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson City School District Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351036800000",
    "number": "1285987586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 HARRY HOWARD AVE",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125341606",
            "telephone_number": "518-828-4360",
            "fax_number": "518-697-8418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 HARRY HOWARD AVE",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125341606",
            "telephone_number": "518-828-4360",
            "fax_number": "518-697-8418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORDON",
        "first_name": "LAURIE",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-24",
        "last_updated": "2012-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "612121-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.